NPI | 1619204963 |
---|---|
Former Name | NATALIE ELAINE RALSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004121) |
363A00000X Physician Assistant (Licence: CA PA22849) | |
Enumeration Date | 2009-11-06 |
Last Update Date | 2018-05-31 |