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 |