| NPI | 1740213800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004814) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: WA PA10004814) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-02-21 |