| NPI | 1396252862 |
|---|---|
| Former Name | AVERY SILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA 61174295) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 021653) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-03-22 |