NPI | 1851337497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA10000726) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA PA10000726) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2011-11-21 |