NPI | 1447490503 |
---|---|
Former Name | NATALIE ANN METCALF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 2403) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1152) |
363AM0700X Physician Assistant, Medical (Licence: NV 1702803811) | |
Enumeration Date | 2009-03-03 |
Last Update Date | 2022-08-11 |