NPI | 1235382888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WA PA60043072) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60043072) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2021-05-11 |