NPI | 1700660198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61488110) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-08-24 |
Last Update Date | 2024-04-23 |