| 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 |