NPI | 1679907620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: MD R01749) |
Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MD R01749) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2013-08-27 |