| NPI | 1528391372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60113833) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA Pending) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2014-01-22 |