| NPI | 1215584172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2553) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ PA2553) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-08-16 |