| NPI | 1144733668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60813187) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA 207T00000X) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-12-04 |