| NPI | 1841268505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60217463) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA166690) |
| 363A00000X Physician Assistant (Licence: MN 10257) | |
| 363A00000X Physician Assistant (Licence: CO 2082) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-04-20 |