| NPI | 1609194406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: CA 11129) |
| Additional Taxonomies | 246XS1301X Specialist/Technologist Cardiovascular Sonography (Licence: CA 11129) |
| 2471V0105X Radiologic Technologist Vascular Sonography (Licence: CA 11129) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |