| NPI | 1982299400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61435268) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8863) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-09-06 |