| NPI | 1477579829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA 1224) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102437) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-09-07 |