| NPI | 1265759435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA181492) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363A00000X Physician Assistant (Licence: OR PA181492) | |
| 363A00000X Physician Assistant (Licence: CA PA21943) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-12-18 |