| NPI | 1821075433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10001876) |
| Additional Taxonomies | 175M00000X Midwife, Lay |
| 363A00000X Physician Assistant (Licence: WA 025211 PA10001876) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-12-04 |