NPI | 1841589744 |
---|---|
Former Name | TAMARA D GRIFFIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1344) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 1607) |
363A00000X Physician Assistant | |
Enumeration Date | 2011-03-31 |
Last Update Date | 2023-05-17 |