NPI | 1972537587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: FL ME 66670) |
Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-04-15 |