| NPI | 1518934751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA158680) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004938) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-02-20 |