NPI | 1861900409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NV PA1919) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-01-17 |
Last Update Date | 2023-01-06 |