NPI | 1508166935 |
---|---|
Former Name | ROSEMARY LETHBRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004467) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054696) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2016-07-12 |