NPI | 1346626934 |
---|---|
Former Name | LINDSEY ANNE GUERCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60567472) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60567472) |
363AS0400X Physician Assistant, Surgical (Licence: WA PA60567472) | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2023-03-22 |