NPI | 1396816682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10001096) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10001096) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2013-09-05 |