NPI | 1972559987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004851) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA PA10004851) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2019-04-18 |