| NPI | 1497856314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004532) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD-431) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-05-11 |