NPI | 1457680209 |
---|---|
Former Name | CHRISTINA R SORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105184) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105184) |
Enumeration Date | 2009-12-08 |
Last Update Date | 2021-12-21 |