| NPI | 1922320951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist Mammography (Licence: CA RHM94300) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: NJ 631701) |
| 247100000X Radiologic Technologist (Licence: NJ ARRT 331992) | |
| 2471C3402X Radiologic Technologist Radiography (Licence: CA RHM94300) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |