| NPI | 1508258088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1746) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52358) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-01-12 |