| NPI | 1205370061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: KY 22847) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: KY 22847) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: KY 22847) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |