| NPI | 1043925639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2023011900) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MO 588293) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-03-31 |