| NPI | 1306826862 |
|---|---|
| Former Name | RITA LYNN ROTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PAG-019) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10004688) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2010-03-09 |