| NPI | 1477794188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2874) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA152582) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2023-09-26 |