NPI | 1790904613 |
---|---|
Former Name | TERRI LYNN HAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60600225) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA14739) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2023-04-18 |