| NPI | 1093128464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: VA 18915) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: VA 150230) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |