NPI | 1720120355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA10003477) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA PA10003477) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-04-21 |