| NPI | 1457826828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2026) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV AP2026) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NV PA2026) | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-09-29 |