NPI | 1811058100 |
---|---|
Former Name | JULIA LAUREN CRINGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001814) |
363AS0400X Physician Assistant, Surgical (Licence: CT 001814) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2014-02-21 |