| NPI | 1942672860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: FL CRT1055) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL 203338) |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: FL 203338) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |