| NPI | 1821049248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10003913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA01040) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-05-06 |