NPI | 1649417668 |
---|---|
Former Name | LINDSAY ANN MCVAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2270) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 2270) |
Enumeration Date | 2009-01-13 |
Last Update Date | 2022-09-02 |