NPI | 1821484452 |
---|---|
Former Name | LOUISSA C SAUTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1772) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60549072) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2019-08-22 |