NPI | 1043704562 |
---|---|
Former Name | LINDSEY MEG HANSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 8821) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-06-18 |
Last Update Date | 2022-11-10 |