| NPI | 1497963607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: TX 91704) |
| Additional Taxonomies | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: SC 00-5416) |
| 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: CA RHT 88718) | |
| 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: ME RT40004681) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |