NPI | 1285093989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60637517) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60637517) |
363AM0700X Physician Assistant, Medical (Licence: WA PA60637517) | |
Enumeration Date | 2016-02-23 |
Last Update Date | 2025-05-14 |