NPI | 1720566847 |
---|---|
Former Name | LYDI CHARDEL STINAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0931) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601008509) |
363A00000X Physician Assistant (Licence: MN 13972) | |
Enumeration Date | 2018-07-31 |
Last Update Date | 2022-03-21 |