| NPI | 1033437298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR 173635) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OR PA173635) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA10004564) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-12-13 |