| NPI | 1699428300 |
|---|---|
| Former Name | CLAIRE EGGLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MO 2022006239) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AM0700X Physician Assistant, Medical (Licence: KS 15-02590) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-09-20 |