NPI | 1669922308 |
---|---|
Former Name | TERYN D LASESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-681) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
Enumeration Date | 2016-10-05 |
Last Update Date | 2023-03-23 |