| NPI | 1144096819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: 23100337) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MI 7601000130) |
| 2471S1302X Radiologic Technologist, Sonography (Licence: 244398) | |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: 244398) | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |