| NPI | 1306041793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60507195) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17881) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-05-13 |