| NPI | 1366868184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60854595) |
| 363A00000X Physician Assistant (Licence: CA 51541) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2021-04-20 |