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 |