| NPI | 1003050071 |
|---|---|
| Former Name | BREANNE ROHDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA 60234603) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA 60234603) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-04-13 |