| NPI | 1215559406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA2539) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA0549) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2026-07-13 |