| NPI | 1235828039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61433283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA PA.PA.61433283) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2025-11-24 |