| NPI | 1366474371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60813982) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA OA60876644) |
| 363A00000X Physician Assistant (Licence: CA PA16200) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-05-18 |