| NPI | 1215264452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58081) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1182) |
| 363A00000X Physician Assistant (Licence: NV PA0225) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2021-09-13 |