NPI | 1750152948 |
---|---|
Other Name | LYNNE DURNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA 1010116) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA MA00946L) |
363AM0700X Physician Assistant, Medical (Licence: PA MA000946L) | |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-16 |