| NPI | 1396454161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 1171830) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: NC 527141) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2025-02-20 |