| NPI | 1245220003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA AP30004043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004043) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2016-02-22 |