NPI | 1245874379 |
---|---|
Former Name | MARGARET KATHRYN LYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061081) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005026) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2024-10-03 |