| NPI | 1316375256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2670) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT PA143083) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2026-03-03 |