NPI | 1366919870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA70017300) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA70017300) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2025-09-23 |