NPI | 1316009137 |
---|---|
Former Name | GLYNIS C PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 24111) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002616) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2015-12-29 |