| NPI | 1932409380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA.60193386) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WA PA60193386) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-11-30 |