NPI | 1295892693 |
---|---|
Former Name | LINDSAY MICHELE BOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003243) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052683) |
363AS0400X Physician Assistant, Surgical (Licence: PA MA052683) | |
Enumeration Date | 2007-01-03 |
Last Update Date | 2022-09-21 |