NPI | 1730676503 |
---|---|
Former Name | LESLIE POHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60901037) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA 60901037) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-11-29 |