| NPI | 1700068764 |
|---|---|
| Former Name | CHARLENE JOY HALLOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60788636) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60788636) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-04-25 |