| NPI | 1104478411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2597) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-04-21 |