| NPI | 1457406241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1710) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA12936) |
| 363A00000X Physician Assistant (Licence: CA PA12936) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-03-17 |