NPI | 1043460876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NV PA1132) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA 1132) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2022-02-28 |