NPI | 1780056754 |
---|---|
Former Name | CAROLYN ENGLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001952A) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001952A) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2024-09-03 |