| NPI | 1871106187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61237369) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA 61237369) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-08-20 |