| NPI | 1144717067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA834) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102798) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-05-04 |