| NPI | 1265225098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61678730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA PA.PA.61678730) |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-06-16 |