NPI | 1346296274 |
---|---|
Former Name | JOCELYN REMILLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003191) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003191) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2010-10-29 |