NPI | 1861820847 |
---|---|
Former Name | DEBORAH PERLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007064) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
363AS0400X Physician Assistant, Surgical (Licence: GA 007064) | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2015-10-08 |