| NPI | 1477862589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2171) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA09940) |
| 363A00000X Physician Assistant (Licence: VA 0111115736) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2024-06-20 |