| NPI | 1922388735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 40826) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: NY 40826) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |