| NPI | 1306143458 |
|---|---|
| Former Name | MARY BETH MCVEITY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60353744) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054752) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60353744) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2018-04-27 |