NPI | 1134176340 |
---|---|
Former Name | THERESA K NEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60071585) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL pa9103689) |
363A00000X Physician Assistant (Licence: WA PA60071585) | |
363AM0700X Physician Assistant, Medical (Licence: WA PA60071585) | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2012-07-17 |