| NPI | 1649468265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: 94755) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: 346578) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: 94755) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |