| NPI | 1639786411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA201913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61109362) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2023-04-24 |