NPI | 1578893848 |
---|---|
Former Name | RINNIE PHILIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007670) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 0134881) |
Enumeration Date | 2010-01-07 |
Last Update Date | 2017-03-23 |