NPI | 1740821164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2227) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV PA2227) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2023-07-11 |