| NPI | 1700049228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60423341) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA00739) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-11-17 |