NPI | 1467538215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60184603) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60184603) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2022-03-02 |