| NPI | 1497282016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1839) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NV PA1839) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-08-04 |