NPI | 1245535574 |
---|---|
Former Name | NANCY LORD SWEATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 129960) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-05255) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2025-03-06 |