| NPI | 1427321173 |
|---|---|
| Former Name | AUDREY F INDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: C5-0000997) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055407) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2023-05-02 |