NPI | 1508273301 |
---|---|
Former Name | BROOKE GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61363785) |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: WA A161327313) |
363A00000X Physician Assistant | |
Enumeration Date | 2014-07-14 |
Last Update Date | 2025-08-04 |