NPI | 1346200243 |
---|---|
Former Name | TERRI LYNNE NEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003570) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA000739L) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2021-04-27 |