| NPI | 1942086640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA0669) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2958) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-06-20 |