NPI | 1659402808 |
---|---|
Former Name | SUZANNE L SLANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004926) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004926) |
363AS0400X Physician Assistant, Surgical (Licence: WA PA10004926) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2023-07-27 |