| NPI | 1760255863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA3011) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 10295) |
| 363A00000X Physician Assistant (Licence: NV PA0685) | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-02-10 |