| NPI | 1881108231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA206830) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA61158299) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-12-06 |