| NPI | 1285056606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60447299) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2015-12-14 |