| NPI | 1578656047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10003789) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207R00000X Internal Medicine (Licence: WA PA10003789) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-07-19 |