| NPI | 1851102347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA.PA.70097313) |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA.PA.70097313) | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2026-05-07 |