NPI | 1447861430 |
---|---|
Former Name | JAMIE SCHULZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61091696) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61091696) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2023-04-14 |