| NPI | 1376105635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2497) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 60266) |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2024-01-24 |