| NPI | 1255797528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1693) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6844) |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2024-02-28 |