NPI | 1497183644 |
---|---|
Former Name | NATALIE N WETHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: SC 2009) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant, Surgical (Licence: NC 0010-07226) | |
Enumeration Date | 2013-10-25 |
Last Update Date | 2023-02-06 |