| NPI | 1225277197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: MD 27505) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MN 227658) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MD 27505) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |