| NPI | 1922033455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NV PA0265) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NV PA829) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-07-21 |