| NPI | 1659551877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60990568) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 19366) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2026-03-11 |