| NPI | 1932572344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61033557) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005664) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2021-12-21 |