| NPI | 1336800168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA.PA.61689173) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC60791384) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC61239792) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-06-16 |