NPI | 1265518591 |
---|---|
Former Name | LINDA SAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA 61407706) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 103516) |
Enumeration Date | 2006-10-30 |
Last Update Date | 2023-04-22 |