| NPI | 1871935403 |
|---|---|
| Former Name | JULIE ANN LAKOTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: IL 500483727) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: IL 500482171) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |