| NPI | 1083580237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3710) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY PA3710) |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2026-01-29 |