| NPI | 1447576541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA155839) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60120252) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2016-05-05 |