| NPI | 1205110848 |
|---|---|
| Former Name | LINDSAY RENEE PILGRIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003624) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC584) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2017-05-04 |