| NPI | 1669708889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2142) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.003634) |
| 363A00000X Physician Assistant (Licence: CA PA56838) | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2020-12-17 |