| NPI | 1922356021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: TN 164151) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: TN 456784) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |