| NPI | 1326569898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61374911) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020922) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-11-03 |