NPI | 1376584748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10003359) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA PA10003359) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-10-07 |