| NPI | 1669717740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: CA 154319) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: CA 154319) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |