| NPI | 1487774097 |
|---|---|
| Former Name | TERRI LYNN PEISCHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0003699) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004696) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-03-28 |