| NPI | 1316158736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60395251) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02065) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-02-18 |