| NPI | 1255732483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA2210) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA 60101218) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2025-01-06 |