NPI | 1053665133 |
---|---|
Former Name | ANNE L KIRKPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055832) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO CO0004041) |
363AM0700X Physician Assistant, Medical (Licence: PA MA055832) | |
Enumeration Date | 2012-10-29 |
Last Update Date | 2022-10-07 |