NPI | 1265908909 |
---|---|
Former Name | LINDSEY LEE CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02144) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 15-02144) |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: KS 15-02144) | |
Enumeration Date | 2018-10-20 |
Last Update Date | 2019-03-11 |