NPI | 1255394979 |
---|---|
Former Name | HEATHER F NESMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 004357) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 004357) |
363AS0400X Physician Assistant, Surgical (Licence: GA 004357) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2022-03-09 |