NPI | 1326682931 |
---|---|
Former Name | FAITH ROLWES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002881A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-11-06 |
Last Update Date | 2022-05-18 |