| NPI | 1093905515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: PA 2471C1101X) |
| Additional Taxonomies | 2471C1106X Radiologic Technologist, Cardiac-Interventional Technology (Licence: PA 2471C1106X) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |