| NPI | 1194261271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61051155) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-12-28 |