NPI | 1467638809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1339) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1339) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2023-03-24 |