| NPI | 1396745873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV PA710) |
| 363AS0400X Physician Assistant, Surgical (Licence: NV PA710) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2023-05-03 |