| NPI | 1386949295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA184402) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60762691) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2024-06-24 |