NPI | 1457719635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA0476) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1714) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2023-10-25 |