| NPI | 1568912202 |
|---|---|
| Former Name | KEATON MARSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61095906) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6766) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2023-08-02 |