| NPI | 1861733693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: OH 8860129) |
| Additional Taxonomies | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: FL 4134) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |