| NPI | 1922473388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60740912) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ID PA-1329) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-12-18 |