| NPI | 1417551763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C1101X Radiologic Technologist Cardiovascular-Interventional Technology (Licence: PA 356107) |
| Additional Taxonomies | 246XC2901X Specialist/Technologist Cardiovascular Cardiovascular Invasive Specialist (Licence: 00035990) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2020-11-27 |