NPI | 1922766195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2679) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-12-03 |
Last Update Date | 2022-12-16 |