| NPI | 1356537989 |
|---|---|
| Former Name | CHRISTIE ANN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60546976) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA19348) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2022-04-15 |