NPI | 1164556452 |
---|---|
Former Name | VERONICA TOOMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13081) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 85001867) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2010-04-22 |