| NPI | 1427539345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 153565) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA6101323) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-04-22 |