NPI | 1235783705 |
---|---|
Former Name | LINDSAY ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-08-01 |
Last Update Date | 2021-03-08 |