NPI | 1710956545 |
---|---|
Former Name | ARLENE DIANTHE RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004986) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010425-1) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2023-02-09 |