NPI | 1811587066 |
---|---|
Former Name | LINDSEY GARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58785) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 58785) |
Enumeration Date | 2021-01-21 |
Last Update Date | 2024-09-10 |