| NPI | 1770075087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2363) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA11863) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2023-10-03 |