| NPI | 1912208661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: 25204) |
| Additional Taxonomies | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: 25204) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: 25204) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |