| NPI | 1568042935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 8497) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA61306757) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2025-04-29 |