| NPI | 1891881116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0447) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA01305) |
| 363A00000X Physician Assistant (Licence: WA PA60193517) | |
| 363A00000X Physician Assistant (Licence: AK 924) | |
| 164W00000X Licensed Practical Nurse (Licence: WA LP00049977) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-04-13 |