NPI | 1396145413 |
---|---|
Former Name | DEANN CHRISTINE BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057160) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003394) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2020-08-26 |