| NPI | 1841708385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1935) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NV PA1935) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NV 0506285) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-04-06 |