| NPI | 1386824035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60261126) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003662) |
| 363A00000X Physician Assistant (Licence: VA 0110002615) | |
| 363A00000X Physician Assistant (Licence: DC PA030515) | |
| 363A00000X Physician Assistant (Licence: CA 52423) | |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2016-06-21 |