| NPI | 1003572041 |
|---|---|
| Other Name | BECCA HADDAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID 2271971) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA70037722) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2025-10-02 |