| NPI | 1982140075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 123234) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2313) |
| 363AM0700X Physician Assistant, Medical (Licence: NV PA0356) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-06-06 |