| NPI | 1326582669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 61475773) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54063) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2024-03-07 |