NPI | 1346356128 |
---|---|
Former Name | ANDREA STURGESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60108096) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102921) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2012-11-15 |