NPI | 1285774042 |
---|---|
Former Name | BRANDI L PARKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052554) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MA052554) |
174400000X Specialist (Licence: PA ma-052554) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2018-06-18 |