| NPI | 1407527914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61538520) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9295) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-05-28 |