| NPI | 1821151309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60026556) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OR 153507) |
| 363A00000X Physician Assistant (Licence: NC 001000727) | |
| 363A00000X Physician Assistant (Licence: CA PA55546) | |
| 363A00000X Physician Assistant (Licence: OR PA 153507) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-04-21 |