NPI | 1518450048 |
---|---|
Former Name | SHAUNA SPURLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4136) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-02107) |
Enumeration Date | 2018-06-09 |
Last Update Date | 2022-08-09 |