| NPI | 1972225126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117017) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL 390200000X) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-08-20 |