NPI | 1578867719 |
---|---|
Former Name | JAMIE BARNARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105610) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL PA9105610) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2019-07-19 |