NPI | 1356720643 |
---|---|
Former Name | DARIAN, DARIAN LEANNE, LEANNE OLDHAM , WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2015-0023) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2015-05-20 |
Last Update Date | 2024-02-16 |