| NPI | 1235427816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1271) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA21484) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-11-02 |