| NPI | 1609814888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60901087) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18400) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-10-28 |