| NPI | 1770965766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: CA RHT00087683) |
| Additional Taxonomies | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: FL CRT 54404) |
| 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: MA 11668) | |
| 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: HI T 270) | |
| 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: DE 7894) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |