| NPI | 1831496926 |
|---|---|
| Former Name | AUDREY LYNN MERINAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 168102) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02561) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2024-03-04 |