| NPI | 1427741362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61525974) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-03-25 |