| NPI | 1922316603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: WA RT0004509) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL CRT-38959) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |