NPI | 1013239995 |
---|---|
Former Name | JOSEPHINE DEL ROSARIO MCDUFFIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02209) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02209) |
Enumeration Date | 2010-02-19 |
Last Update Date | 2022-11-15 |