NPI | 1669984282 |
---|---|
Former Name | MEGHAN BRAICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA.PA.61241251) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-11-05 |
Last Update Date | 2024-10-22 |