NPI | 1104354190 |
---|---|
Former Name | SAMANTHA N HULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60763659) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60763659) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2024-08-15 |