| NPI | 1376514034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA896) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV PA 8960) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2014-02-14 |