| NPI | 1285191346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60969849) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60969849) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2024-04-09 |