| NPI | 1083296016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA3208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 13600489-1206) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-03-25 |