NPI | 1518108158 |
---|---|
Former Name | AUBREY LYNN CORRIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 002651) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 013164) |
363A00000X Physician Assistant (Licence: CT 002651) | |
363AM0700X Physician Assistant, Medical (Licence: CT 002651) | |
363AS0400X Physician Assistant, Surgical (Licence: NC 0010-07463) | |
Enumeration Date | 2009-03-11 |
Last Update Date | 2022-07-21 |