| NPI | 1487172177 |
|---|---|
| Other Name | WILLIE RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 9531) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA 60917007) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2023-05-06 |