| NPI | 1437397734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60276526) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4270) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2022-09-26 |