| NPI | 1245584606 |
|---|---|
| Other Name | BARRETT WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55063) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1853) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2018-01-29 |