NPI | 1639144181 |
---|---|
Former Name | KIM C BIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA01062) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004982) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2009-02-18 |