| NPI | 1144677535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60796453) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 230136) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-09-12 |