NPI | 1427144997 |
---|---|
Former Name | ANDREA DAWN TOMASEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000001561) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9101918) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2009-03-24 |