NPI | 1750183992 |
---|---|
Former Name | KIMBER COLETTE CHADWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA70009892) |
Additional Taxonomies | 363A00000X Physician Assistant |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2025-03-26 |
Last Update Date | 2025-08-18 |