| NPI | 1992904916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: CA RHM71836) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist Computed Tomography (Licence: CA RHM #71836) |
| 2471M2300X Radiologic Technologist Mammography (Licence: CA RHM71836) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |