NPI | 1487010401 |
---|---|
Former Name | CHIARA LYNN OXENDINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001006144) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 001006144) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-08-02 |