NPI | 1386173334 |
---|---|
Former Name | RENEE ARMSTRONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 305776) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-03-29 |