| NPI | 1518071372 | 
|---|---|
| Former Name | JODY J. VEATCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60401344)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2026)  | 
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA60401344)  | |
| Enumeration Date | 2006-08-18 | 
| Last Update Date | 2024-02-16 |