| NPI | 1194781393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA0292) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9100965) |
| 363A00000X Physician Assistant (Licence: NV PA1513) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-10-12 |