NPI | 1770744625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61042361) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60062911) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2020-07-17 |