| NPI | 1437186889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 408) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60953898) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-05-25 |