NPI | 1548372816 |
---|---|
Former Name | NINA FRANCES DRAFFEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 512) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 1059) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2016-08-24 |