NPI | 1851546329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61495995) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA01417) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2024-06-06 |