NPI | 1669730479 |
---|---|
Former Name | GINA M SHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106991) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106991) |
Enumeration Date | 2012-04-30 |
Last Update Date | 2024-10-18 |