NPI | 1568496990 |
---|---|
Former Name | JERRILYN FINLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1069-23) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 1069) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2021-09-20 |