| NPI | 1346589447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60433471) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03989) |
| 363A00000X Physician Assistant (Licence: WA PA60433471) | |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60433471) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2015-04-21 |