NPI | 1932604808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OK 17667) |
Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: OK 17667) |
Enumeration Date | 2018-03-24 |
Last Update Date | 2018-03-24 |