| NPI | 1831826791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA3233) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA16258) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-11-21 |