| NPI | 1538487004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60938467) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA06568) |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2024-02-16 |