NPI | 1619550688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61610839) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA61610839) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2024-12-09 |