| NPI | 1679716930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60247887) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA153342) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2022-12-19 |