| NPI | 1659470516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60688813) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104555718) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-10-07 |