| 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 |