| NPI | 1144611799 |
|---|---|
| Former Name | PAIGE GIVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C005682) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA064526) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-07-29 |