NPI | 1508317181 |
---|---|
Former Name | TRISH BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT MED-PAC-LIC-57795) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-10-19 |
Last Update Date | 2021-12-14 |