| NPI | 1700035896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1884) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 1084622) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2021-02-16 |