| NPI | 1730812173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular (Licence: SC 00091537) |
| Additional Taxonomies | 246W00000X Technician, Cardiology |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: SC 183319) | |
| 246Y00000X Spec/Tech, Health Info | |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2022-07-04 |