| NPI | 1902975097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009166) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-09-13 |