| NPI | 1194248856 |
|---|---|
| Former Name | LISA ANN PADIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60912825) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA PA60912825) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60912825) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-09-08 |