| 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 |