| NPI | 1376081661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA2450) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA57948) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-06-11 |