| NPI | 1871877506 |
|---|---|
| Former Name | ROBERTA L GARVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA156554) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA54007) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2022-09-07 |