NPI | 1215333406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58062) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX PA09389) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA PA58062) | |
363A00000X Physician Assistant | |
363A00000X Physician Assistant (Licence: CA 58062) | |
Enumeration Date | 2014-11-14 |
Last Update Date | 2021-12-05 |