| NPI | 1447569363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1286) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21058) |
| 363AM0700X Physician Assistant, Medical (Licence: NV PA0246) | |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2012-10-10 |