| NPI | 1366905705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 243U00000X Radiology Practitioner Assistant (Licence: 349813) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-08-16 |