NPI | 1316405673 |
---|---|
Former Name | BARBARA A TILFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA OA61015214) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA PA60965362) |
363AM0700X Physician Assistant, Medical (Licence: WA PA60965362) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-06 |
Last Update Date | 2020-10-21 |