NPI | 1073137915 |
---|---|
Former Name | HANNAH LEE ABNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0857) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 167234) |
363A00000X Physician Assistant (Licence: UT 11954487-1206) | |
Enumeration Date | 2020-06-06 |
Last Update Date | 2023-01-24 |