NPI | 1164785788 |
---|---|
Former Name | LINDSAY L DREVLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 006482) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2012-06-19 |
Last Update Date | 2024-08-29 |