| NPI | 1275866139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60959443) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA PA60959443) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2019-07-16 |