| NPI | 1932762218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2852) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA PA2852) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-12-01 |