| NPI | 1285061614 |
|---|---|
| Former Name | CLARICE A TWITTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60418621) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60418621) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-09-30 |