| NPI | 1487306395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA 196853) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: CA 196853) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |