NPI | 1922538768 |
---|---|
Former Name | CONNIE J GARINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography (Licence: KS 22-02156) |
Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 166952) |
2471M2300X Radiologic Technologist, Mammography (Licence: 166952) | |
Enumeration Date | 2017-06-14 |
Last Update Date | 2017-06-14 |