NPI | 1225848690 |
---|---|
Former Name | ABIGALE LOUISE WHITSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA066188) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA066188) |
Enumeration Date | 2025-01-08 |
Last Update Date | 2025-02-05 |