| NPI | 1417387820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60602213) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5526) |
| 363A00000X Physician Assistant (Licence: ID 1971646) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2025-11-08 |