| NPI | 1982090114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA PA61352837) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 12810) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-02-13 |