NPI | 1275710311 |
---|---|
Former Name | LYNN RIEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50002680) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01771) |
363AS0400X Physician Assistant, Surgical (Licence: NC 0010-01771) | |
Enumeration Date | 2008-01-30 |
Last Update Date | 2022-07-21 |