NPI | 1891768560 |
---|---|
Former Name | CORA E CUMMINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10003891) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10003891) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2020-12-07 |