| NPI | 1720510902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular |
| Additional Taxonomies | 171W00000X Contractor |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |