NPI | 1447429683 |
---|---|
Former Name | LINDSEY BLAIR WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 005286) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 1080900) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2014-07-16 |