| NPI | 1649844655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: CA 00102159) |
| 2471M2300X Radiologic Technologist Mammography (Licence: CA 00102159) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2023-01-17 |