| NPI | 1194559070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA3153) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-08-31 |
| Last Update Date | 2026-02-16 |