| NPI | 1003836529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60072835) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001488) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-10-06 |