| NPI | 1912600727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: NM 163456) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NM 163456) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-09-03 |