| NPI | 1639898000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: 00069422) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL 00069422) |
| 2471S1302X Radiologic Technologist, Sonography (Licence: 00069422) | |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: 00069422) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |