NPI | 1184982407 |
---|---|
Former Name | SONNI ERIKA RYCHLIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60656069) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA157572) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2019-05-20 |