NPI | 1265407217 |
---|---|
Former Name | ROBYN E. MITCHELL |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106706) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 004155) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2012-12-19 |