| NPI | 1174174452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065859) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60833836) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-09-06 |