NPI | 1699256388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2035) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-08-22 |
Last Update Date | 2024-03-14 |