| NPI | 1609340363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: NJ 642755) |
| Additional Taxonomies | 2085R0001X (Licence: NJ 642755) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-06-02 |