| NPI | 1760669683 |
|---|---|
| Other Name | RENEE ARMISTEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 19529) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA 19529) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |