| NPI | 1528150927 |
|---|---|
| Former Name | SUSAN E SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10003480) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10003480) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-03-07 |