NPI | 1467756502 |
---|---|
Former Name | SUZANNE MARIE HIRST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008647) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60316417) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2025-07-09 |