| NPI | 1538438213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60391012) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51340) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2024-07-17 |