| NPI | 1134551385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60803193) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 3181) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2018-04-16 |