NPI | 1417281593 |
---|---|
Former Name | LINDSEY STOTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1816) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053870) |
363A00000X Physician Assistant (Licence: CA PA22940) | |
363AM0700X Physician Assistant, Medical (Licence: NC 001001938) | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2023-11-15 |