| NPI | 1558902890 |
|---|---|
| Former Name | EILEEN FAUTEUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61389905) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-006836) |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA61389905) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-11-03 |