NPI | 1609165463 |
---|---|
Former Name | ANDREA DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006730) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030738) |
363A00000X Physician Assistant (Licence: VA 0110003913) | |
363A00000X Physician Assistant (Licence: MD C0004401) | |
363AM0700X Physician Assistant, Medical (Licence: VA 0110003913) | |
Enumeration Date | 2011-04-01 |
Last Update Date | 2022-04-01 |