| NPI | 1497589303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL 143271) |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |