| NPI | 1205993359 |
|---|---|
| Former Name | CINDY MICHELE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-00656) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002188) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2018-08-15 |