| NPI | 1881025708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60747576) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AK 06-772-P) |
| 363A00000X Physician Assistant (Licence: AK 2301) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2021-02-17 |