| NPI | 1043633910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 1861) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54645) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2018-09-29 |