| NPI | 1578876462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004367) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-11-08 |