| NPI | 1467928820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61464736) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004719) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2024-02-01 |