| 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 |