NPI | 1063896934 |
---|---|
Former Name | AMELIA B TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: IN 10001854A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001854A) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2021-02-04 |