| 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 |