| NPI | 1083983555 |
|---|---|
| Former Name | CINDY L PUCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200619) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015398) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2018-12-14 |