NPI | 1255658951 |
---|---|
Former Name | AMY BROWNING CROMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6254) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 6254) |
363AS0400X Physician Assistant, Surgical (Licence: CT 6254) | |
Enumeration Date | 2010-04-21 |
Last Update Date | 2024-04-22 |