| NPI | 1740687672 |
|---|---|
| Former Name | SHARON LEE RAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471C1106X Radiologic Technologist Cardiac-Interventional Technology (Licence: FL 34426) |
| Additional Taxonomies | 2471C1106X Radiologic Technologist Cardiac-Interventional Technology (Licence: MA 17751) |
| 2471C1106X Radiologic Technologist Cardiac-Interventional Technology (Licence: MT 4730) | |
| 2471C1106X Radiologic Technologist Cardiac-Interventional Technology (Licence: DE 7921) | |
| 2471C1106X Radiologic Technologist Cardiac-Interventional Technology (Licence: TX 101285) | |
| 2471C1106X Radiologic Technologist Cardiac-Interventional Technology (Licence: AZ 17226) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |