| NPI | 1437711330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2139) |
| Additional Taxonomies | 208800000X Urology (Licence: NV PA2139) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |