NPI | 1295727626 |
---|---|
Former Name | NANCY J WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.001711RX) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50-00-1711) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2023-07-11 |