| NPI | 1346008489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 3030) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 64231) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-07-25 |