| NPI | 1952471682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MA052722) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052722) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PA MA052722) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-01-05 |