NPI | 1538391198 |
---|---|
Former Name | TAULYN J SNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01322) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 15-01322) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2023-02-07 |