NPI | 1538492327 |
---|---|
Former Name | LINDA VAN HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 20467) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2009-09-10 |
Last Update Date | 2019-09-05 |