| NPI | 1548278211 |
|---|---|
| Former Name | JANET A RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60546522) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1080) |
| 363A00000X Physician Assistant (Licence: MI 5601003059) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-03-17 |