| NPI | 1215435573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2419) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55298) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2026-02-24 |