| NPI | 1437198652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004764) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 1004764) |
| 363A00000X Physician Assistant (Licence: OR PA217076) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-09-19 |