| NPI | 1619349826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61211939) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 133V00000X Dietitian, Registered (Licence: MN 86007582) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-10-13 |