NPI | 1518907799 |
---|---|
Former Name | ANDREA M WINKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2074) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 00772) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2016-05-06 |