| NPI | 1124357066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2489) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20701) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2023-10-02 |