| NPI | 1811267909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA0473) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1319) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2023-11-09 |