NPI | 1619112364 |
---|---|
Former Name | RONNIE BLISS ARCENEAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA 200206) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200206) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2017-07-12 |