| NPI | 1396704524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10003395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP3002067) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-05-10 |