| NPI | 1538772371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58461) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61372813) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2024-09-13 |