NPI | 1215238423 |
---|---|
Former Name | JODI E SWEARINGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014362) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-11-04 |
Last Update Date | 2021-03-25 |