| NPI | 1598300279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7303) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61074838) |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2024-02-16 |