NPI | 1306809421 |
---|---|
Former Name | DAWN M. SILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051725) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA051725) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2017-04-18 |