| NPI | 1457317141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60591856) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 504) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2023-04-25 |