| NPI | 1275832008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1261) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5654) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2023-02-21 |