| NPI | 1093168130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1756) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2021-02-22 |