| NPI | 1821591157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA 60868603) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA PA.PA.60868603) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-01-04 |