| NPI | 1689869703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10005270) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10005270) |
| 363AM0700X Physician Assistant, Medical (Licence: WA TA10005270) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2022-10-13 |