| NPI | 1467544320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60217469) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA01113) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-03-07 |