NPI | 1649764978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA PA6695) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-06-20 |
Last Update Date | 2019-03-06 |