| NPI | 1295050920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20866) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61119226) |
| 363A00000X Physician Assistant (Licence: CA PA20866) | |
| 363A00000X Physician Assistant (Licence: WA pa61119226) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2023-01-23 |