| NPI | 1891179891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60807203) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 018822) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2025-10-31 |