NPI | 1336663608 |
---|---|
Former Name | FELECIA NICOLE MAJORS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005149RX) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-07-28 |
Last Update Date | 2024-11-11 |