NPI | 1740264175 |
---|---|
Former Name | LATOYA MONIQUE SAWYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 003562) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03102) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2017-01-27 |