NPI | 1154648251 |
---|---|
Former Name | CRYSTAL ANN MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MD 120173) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2010-04-28 |