NPI | 1093361859 |
---|---|
Former Name | KIRSTEN SINCLAIR RENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0000.09356) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2019-08-16 |
Last Update Date | 2022-03-19 |