NPI | 1326449083 |
---|---|
Former Name | LINDSAY M DYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004386) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007146) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2017-02-01 |