| NPI | 1699406983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound (Licence: NY 261834) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: NY 261834) |
| 2471S1302X Radiologic Technologist Sonography (Licence: NY 261834) | |
| 2471V0105X Radiologic Technologist Vascular Sonography (Licence: NY 261834) | |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2022-06-18 |