| NPI | 1811263015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA1485985) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA65290) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-10-21 |