NPI | 1639762180 |
---|---|
Former Name | LEXIS MARIE FINCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SD 1298) |
Enumeration Date | 2021-02-16 |
Last Update Date | 2023-09-12 |