| NPI | 1215183090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: LA 7179) |
| Additional Taxonomies | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: TX 7515) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |