| NPI | 1548780166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2166) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54985) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-04-18 |