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 |