NPI | 1023343076 |
---|---|
Former Name | LINDSAY L RAURK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054085) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002397) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2020-08-06 |