NPI | 1033503685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: FL 130145) |
Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: FL 130145) |
2471V0105X Radiologic Technologist, Vascular Sonography (Licence: FL 130145) | |
Enumeration Date | 2015-03-21 |
Last Update Date | 2015-03-21 |