| NPI | 1134760895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA 61482140) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA57195) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-05-23 |