| NPI | 1497170005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61473287) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 55380) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-03-20 |