| NPI | 1003430935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61035868) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 61035868) |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2021-10-25 |