| NPI | 1497148423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: FL CRT 10637) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: FL CRT 10637) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |