| NPI | 1265675599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA156344) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60064002) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2026-04-15 |