NPI | 1871629709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004765) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004765) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2021-06-22 |