| NPI | 1093743510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1223) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NV PA1223) |
| 363A00000X Physician Assistant (Licence: PA1223) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-04-24 |