| NPI | 1891785275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: 0000049297) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: TX 64449) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-10-01 |