NPI | 1588090948 |
---|---|
Former Name | APRILYN NADINE WITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1884) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61434813) |
363A00000X Physician Assistant (Licence: CA PA23222) | |
Enumeration Date | 2013-09-17 |
Last Update Date | 2024-09-27 |