NPI | 1376877274 |
---|---|
Former Name | AUSPRIA S DOUGLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3458) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005354) |
Enumeration Date | 2009-09-24 |
Last Update Date | 2021-02-25 |