| NPI | 1760118327 |
|---|---|
| Former Name | GRETHA ELIZABETH EIFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61333180) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-08-09 |