| NPI | 1316603517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 374U00000X Home Health Aide | |
| 246W00000X Technician, Cardiology | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |