NPI | 1649323742 |
---|---|
Former Name | SHEROLYN J CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA164738) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10004809) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2023-05-02 |