NPI | 1720327547 |
---|---|
Former Name | AUDREY ANN FRANCIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007687) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA22597) |
Enumeration Date | 2013-02-14 |
Last Update Date | 2016-05-20 |