| NPI | 1295752905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004118) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA00882) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-05-25 |