| NPI | 1356609218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60770442) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-02-21 |