| NPI | 1922180835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61367893) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 12065) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-12-16 |