NPI | 1073707642 |
---|---|
Former Name | ALEXAUS B TOLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60133702) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60133702) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2023-09-20 |