| NPI | 1720524374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55660) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60717511) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2023-08-23 |