NPI | 1962798991 |
---|---|
Former Name | HEATHER M HIRSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004338) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA1004338) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2024-05-21 |