NPI | 1518305754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61352821) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2013-06-10 |
Last Update Date | 2023-01-09 |