| NPI | 1114229374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60346640) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA153162) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2018-05-02 |