| NPI | 1093147472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1672) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1672) |
| 363A00000X Physician Assistant (Licence: CA pa23108) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2022-01-18 |