NPI | 1780040055 |
---|---|
Former Name | NICOLE LEFEBVRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9663) |
Enumeration Date | 2016-01-02 |
Last Update Date | 2021-06-22 |