| NPI | 1417691064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: AZ 156358) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: MN 156358) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: MN 156358) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-06-01 |