NPI | 1558336255 |
---|---|
Other Name | APRIL LYNN SMALLACOMBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00177800) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051876) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2022-07-11 |