NPI | 1396878047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60429083) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60429083) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2023-07-24 |