| NPI | 1801312616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2471C3401X Radiologic Technologist Computed Tomography (Licence: OH R8861923) |
| 2471C3402X Radiologic Technologist Radiography (Licence: OH R8861923) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-22 |