| NPI | 1396049342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1556) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 200415) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-02-08 |