NPI | 1700054335 |
---|---|
Former Name | CHRISTINA LORRAINE NORMAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5024) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2008-02-17 |
Last Update Date | 2014-01-20 |