| NPI | 1306032321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA861) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 225669) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2024-11-14 |