| NPI | 1609343664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 60894139) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2026-04-22 |