| NPI | 1598090656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60115550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL PA60115550) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2021-01-19 |