| NPI | 1063036978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2738) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV PA2738) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-12-19 |