NPI | 1235391194 |
---|---|
Former Name | ABIGAIL BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2275) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.006155RX) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2025-03-03 |