NPI | 1386665271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60901761) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-07-23 |
Last Update Date | 2021-12-28 |