NPI | 1770924409 |
---|---|
Former Name | LINDSEY ALISON SUFFREDINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6876) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C05097) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2020-06-03 |