| NPI | 1457411712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV 2457) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA VA10001483) |
| 363A00000X Physician Assistant (Licence: VA 0110001483) | |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2024-03-22 |