NPI | 1093942674 |
---|---|
Former Name | LINDSAY MEGAN CROWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9105041) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2009-06-22 |
Last Update Date | 2012-06-21 |