| NPI | 1346273083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60115528) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA183326) |
| 133V00000X Dietitian, Registered (Licence: OR PA183326) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-12-16 |