| NPI | 1467884999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60430529) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA0003761) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-01-07 |