| NPI | 1578948709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: 1127702) |
| Additional Taxonomies | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: TX 91203) |
| 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: 028956) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2018-09-14 |