| NPI | 1962557694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60115674) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: WA A160047241) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-11-04 |