NPI | 1851145395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61511218) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA.PA.61511218) |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-29 |