| NPI | 1437240181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10003496) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-233) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-09-04 |