| NPI | 1235420498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60647762) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2021-06-23 |