| NPI | 1750011060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: AZ 181857) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: AZ 181857) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-13 |