| NPI | 1508187873 |
|---|---|
| Former Name | RYAN ELIZABETH BOYKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2022012973) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02332) |
| 363A00000X Physician Assistant (Licence: CO PA.0004286) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-06-14 |