| NPI | 1447879317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 8090) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61233450) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA61233450) | |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 8090) | |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-12-17 |