| NPI | 1396737235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA0699) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA802) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2024-12-09 |