| NPI | 1437792033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61172807) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 58399) |
| 363A00000X Physician Assistant (Licence: WA 61172807) | |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2024-10-10 |