| NPI | 1922141654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA AP30001090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00039449) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-05-08 |