NPI | 1124672209 |
---|---|
Former Name | LUCY HORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114767) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006697) |
Enumeration Date | 2019-07-28 |
Last Update Date | 2024-10-18 |