| NPI | 1356495907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5624) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10003868) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-12-13 |