| NPI | 1649632381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: CA RHT00082211) |
| Additional Taxonomies | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: NY 679805) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |