| NPI | 1821479049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60569944) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA218320) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2026-08-05 |