| NPI | 1891374104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14791) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2022-12-31 |