| NPI | 1285004051 |
|---|---|
| Former Name | VIRGINIA ELISABETH MINEHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: VA 0110-005114) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-005114) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2019-08-27 |