| NPI | 1255888319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61341037) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA WA61341037) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-02-22 |