| NPI | 1285142315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA.60957274) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-02-11 |