| NPI | 1023899838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61528538) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-07-09 |