| NPI | 1649640814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1641) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52441) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-09-10 |