| NPI | 1790874477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004191) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA OA60814960) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-03-10 |