| NPI | 1932698628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471M2300X Radiologic Technologist Mammography (Licence: NY 515624) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: NY 515624) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |