NPI | 1356349047 |
---|---|
Former Name | LISA J HOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002089) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0101029566) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2009-06-16 |