NPI | 1770117541 |
---|---|
Former Name | SYDNEY EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL PA9114154) |
Enumeration Date | 2020-03-02 |
Last Update Date | 2024-08-07 |