| NPI | 1972264042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61619677) |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2024-12-11 |