| NPI | 1881321198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID 6761478) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: ID 578041) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-01-28 |