| NPI | 1437408416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1609) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-994) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2025-09-11 |