NPI | 1255568234 |
---|---|
Former Name | NANCY JEAN REXINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60530045) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 4769) |
363A00000X Physician Assistant (Licence: OK 1750) | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2023-11-07 |