NPI | 1669559795 |
---|---|
Former Name | CHRISTINA LYNDELL GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 020563) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN 1460) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-07-21 |