| NPI | 1114999661 |
|---|---|
| Former Name | VALERIE SWOMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601003889) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002512) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-10-26 |