| NPI | 1427180116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60415357) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011600) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-01-30 |