NPI | 1437417151 |
---|---|
Former Name | DAWN H WINSLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106532) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106532) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2021-08-25 |