| NPI | 1699373530 |
|---|---|
| Former Name | CALLIE CHERE' MUNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA201744) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA201744) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-12-10 |