NPI | 1487698957 |
---|---|
Former Name | WINDY SUE LESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 004722) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 004722) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-04-26 |