| NPI | 1033724968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61226085) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61213105) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2022-02-22 |