NPI | 1376881250 |
---|---|
Former Name | BONNIE HINDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA52522) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA08087) |
Enumeration Date | 2013-01-28 |
Last Update Date | 2021-08-03 |