| NPI | 1225226475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1061) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 20349) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2009-07-24 |