NPI | 1598178246 |
---|---|
Former Name | LINDSAY N BREON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056875) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA056875) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2021-03-17 |