| NPI | 1790342459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography |
| Additional Taxonomies | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |