NPI | 1659789402 |
---|---|
Former Name | LINDSEY FRANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5091) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1370) |
363AM0700X Physician Assistant, Medical (Licence: NH 1370) | |
363AM0700X Physician Assistant, Medical (Licence: MA PA5091) | |
Enumeration Date | 2014-07-24 |
Last Update Date | 2025-06-19 |