NPI | 1396422754 |
---|---|
Former Name | JESSICA L DOSCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61503338) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61503338) |
Enumeration Date | 2023-06-28 |
Last Update Date | 2024-10-22 |