| NPI | 1164859435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60845436) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA OA61045954) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-02-11 |