| NPI | 1356780654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: WY GN-1523-10) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: WY GN-1523-10) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-02-10 |