NPI | 1194476689 |
---|---|
Former Name | NATALIE RENEE CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4929) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-01-16 |
Last Update Date | 2022-03-28 |