| NPI | 1801570577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.2289) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: 167672) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: 167672) | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-02-12 |