NPI | 1083732804 |
---|---|
Former Name | VALERIE A WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 131882) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-00358) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2017-03-24 |