NPI | 1457579450 |
---|---|
Other Name | CYNTHIA L EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 1699) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3601) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2012-05-02 |