NPI | 1134522709 |
---|---|
Former Name | CLARA HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5885) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5885) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2022-07-29 |