NPI | 1992021059 |
---|---|
Former Name | SONJA L SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA154573) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60120278) |
363A00000X Physician Assistant (Licence: WA TA60120274) | |
Enumeration Date | 2010-04-14 |
Last Update Date | 2016-11-04 |