NPI | 1063802536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1598) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1598) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2022-11-03 |