| NPI | 1942671920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA70097671) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA70097671) |
| 363AM0700X Physician Assistant, Medical (Licence: OH 50.004492) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2026-05-28 |