NPI | 1487948493 |
---|---|
Former Name | WENDY JO TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1566) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003287) |
363A00000X Physician Assistant (Licence: WV 01566) | |
Enumeration Date | 2011-06-07 |
Last Update Date | 2018-09-05 |