NPI | 1689184392 |
---|---|
Former Name | MISSY G HUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60796670) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA PA60796670) |
Enumeration Date | 2017-10-08 |
Last Update Date | 2019-06-27 |