| NPI | 1053862474 |
|---|---|
| Former Name | SEGUIN LEE WARWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3141) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1194) |
| 363A00000X Physician Assistant (Licence: NC 0010-07287) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL 9113993) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-08-09 |