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 |