| NPI | 1013330539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist Radiation Therapy (Licence: OH T2651874) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: OH T2651874) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |