| NPI | 1750704862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: 21187 ARDMS) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: 00062071 CCI) |
| 247100000X Radiologic Technologist (Licence: MS MRT0457) | |
| 2471S1302X Radiologic Technologist, Sonography (Licence: 21187 ARDMS) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-02-05 |