| NPI | 1144589888 |
|---|---|
| Former Name | ROSANNE BOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: PA 94361) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: PA 94361) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |