| NPI | 1427782549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2359) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: ID 583626) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-10-11 |