| NPI | 1770023228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61139272) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 56215) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-09-16 |