NPI | 1245648559 |
---|---|
Former Name | APRIL JOAN EDDINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004965) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN 2565) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2015-10-19 |