| NPI | 1285166397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 61069408) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020711-1) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-05-10 |