| NPI | 1073966966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60661878) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60661878) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2019-12-19 |