| NPI | 1215432034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: 184510) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: 184510) |
| 261QR0208X Clinic/Center, Radiology, Mobile (Licence: 184510) | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: 184510) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2023-07-17 |