| NPI | 1689820367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: LA 3001) |
| Additional Taxonomies | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: LA 8623) |
| 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: MN 222780) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |