NPI | 1740855501 |
---|---|
Former Name | FAITH SPENCER LANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12380) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 0010-12380) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-24 |
Last Update Date | 2024-12-05 |