| NPI | 1437200797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6308) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10002473) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2022-07-21 |