NPI | 1295015527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60255524) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA 60255524) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2024-03-11 |