| NPI | 1528423647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2435) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10221) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-03-14 |