| 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 |