| NPI | 1144390915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004689) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00056880) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2021-05-03 |