| NPI | 1790433449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NV PA2587) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-04-13 |