NPI | 1366567109 |
---|---|
Former Name | SHERYL A LUCIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK PA4416) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA02795) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-09-10 |