| NPI | 1194719138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: NC 26939) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: NC 26939) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-01-04 |