| NPI | 1831702331 |
|---|---|
| Former Name | CHRISTINE A. MERRYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WA PA61376697) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61376697) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-07-18 |