NPI | 1033480538 |
---|---|
Former Name | PATRICIA JOYCE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2072) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 2072) |
Enumeration Date | 2012-01-16 |
Last Update Date | 2018-09-26 |