NPI | 1831681709 |
---|---|
Former Name | LINDSAY COMERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008692) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601008692) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2022-07-28 |