| NPI | 1215492335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA.PA.61363761) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3794) |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2024-06-14 |