| NPI | 1881308856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: TX 121701) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |