| NPI | 1497146294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1719) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA17019) |
| 363A00000X Physician Assistant (Licence: IL 085005339) | |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2024-05-06 |