| NPI | 1992902894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist Computed Tomography (Licence: SC 172045) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: OH 172045) |
| 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: SC 172045) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |