NPI | 1730177502 |
---|---|
Former Name | CYNTHIA ANN FERRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00575) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1563) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2020-09-28 |