NPI | 1104083005 |
---|---|
Former Name | SONYA V ROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1388) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001891) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2012-12-06 |