| NPI | 1699102871 |
|---|---|
| Former Name | TAMARA ANN COULTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA.60417452) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7686) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-12-04 |