| NPI | 1336466234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60435765) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2435-23) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2014-05-08 |