| NPI | 1366767071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: LA ARDMS119468) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: LA ARDMS119468) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-06-04 |