| NPI | 1689556714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: CA 340335) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 210525) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2026-03-24 |