| NPI | 1548697238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05021) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 0010-05021) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2025-10-01 |