| NPI | 1376514034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 367813-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA896) |
| 208D00000X General Practice (Licence: NV PA 8960) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2026-08-27 |