NPI | 1174072391 |
---|---|
Former Name | HEATHER L VOUROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09320) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058581) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2020-10-02 |