NPI | 1841701760 |
---|---|
Former Name | NATALIE MARIE SALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 367546-1206) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: UT 367546-1206) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2022-12-03 |