| NPI | 1871999128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471C1106X Radiologic Technologist, Cardiac-Interventional Technology (Licence: IN XC000232) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |