| NPI | 1326538299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: 44030) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-06-16 |