NPI | 1295066033 |
---|---|
Former Name | REBECCA CLIFTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5755) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003195) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2015-12-15 |