| NPI | 1588022560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1712) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2021-03-09 |