| NPI | 1851471361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004222) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA 025211 PA10004222) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-06-10 |