| NPI | 1083145809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 2074) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54304) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-07-20 |