| NPI | 1831557107 |
|---|---|
| Former Name | ANDREA ALYS KERRIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60800587) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2018-07-25 |