| NPI | 1285759787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60095605) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18515) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-06-07 |