NPI | 1447404488 |
---|---|
Former Name | APRIL L LOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001003348) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1362) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2024-04-22 |