NPI | 1831767425 |
---|---|
Former Name | REBECCA C TUFFLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA.61219702) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-06-11 |
Last Update Date | 2021-10-19 |