| NPI | 1508950437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1963) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA01776) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-06-26 |