NPI | 1558686659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1199) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1199) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2010-03-31 |