| NPI | 1538601166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60826975) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA180422) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2021-11-30 |