| NPI | 1801802871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004618) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 10004618) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-12-20 |