| NPI | 1417513383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61377687) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NV PA2187) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-02-28 |