NPI | 1194044495 |
---|---|
Former Name | NATALIE E CONDE-COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4947) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02035) |
363A00000X Physician Assistant (Licence: FL PA9105106) | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2023-12-19 |