| NPI | 1619918893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA AP10003903) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA PA10003903) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-12-14 |