NPI | 1710263553 |
---|---|
Former Name | CHRISTINE WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055190) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055190) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2019-04-26 |