NPI | 1093735367 |
---|---|
Former Name | ROSALINDE OLIVIA SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110840448) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0000343) |
363AM0700X Physician Assistant, Medical (Licence: DC PA52) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2011-12-28 |