| NPI | 1396914750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: LA 5657) |
| Additional Taxonomies | 2085R0001X (Licence: LA 5657) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2024-03-06 |