| NPI | 1912577669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NM RRT00103) |
| Additional Taxonomies | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: NM RRT0559) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-29 |