| NPI | 1487951620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61343072) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4811) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2023-05-09 |