NPI | 1013098326 |
---|---|
Former Name | CYNTHIA JEAN CULP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 155344) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 51534) |
363A00000X Physician Assistant (Licence: ID 1791) | |
363A00000X Physician Assistant (Licence: WA PA10005082) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-06-15 |