NPI | 1790064798 |
---|---|
Former Name | DIANE MARIE ATKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6377) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0846) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2022-02-11 |