| NPI | 1902590144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TN 138414) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: GA 42459) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |