| NPI | 1730977893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography |
| 2471C3402X Radiologic Technologist, Radiography | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |