| NPI | 1982926648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: MA 11852) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MA 11852) |
| 247100000X Radiologic Technologist (Licence: CA 97756) | |
| 247100000X Radiologic Technologist (Licence: MA 399995) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |