NPI | 1144595984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 00-7042) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 00-7042) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-13 |