NPI | 1457530495 |
---|---|
Former Name | LINDSAY PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10005329) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA OA60466162) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2019-10-03 |