| NPI | 1528720778 |
|---|---|
| Former Name | PEPPER MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: LA 98098) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: LA 98098) |
| 246X00000X Spec/Tech, Cardiovascular (Licence: LA 98098) | |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: LA 98098) | |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: LA 98098) | |
| 2471S1302X Radiologic Technologist, Sonography (Licence: LA 98098) | |
| 405300000X Prevention Professional (Licence: LA 98098) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-11-29 |