| NPI | 1982857215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1135) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10557) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2022-08-19 |