NPI | 1366892523 |
---|---|
Former Name | LINDSEY J BADERTSCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02481) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2030) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2021-11-08 |