| NPI | 1073939971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MD 35528) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: MD 188183) |
| 2471S1302X Radiologic Technologist, Sonography (Licence: MD 35528) | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2014-03-15 |