NPI | 1780170399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61041267) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2020-04-24 |