NPI | 1871057877 |
---|---|
Former Name | ABBY CAROLINE BROWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 311724) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-01-24 |
Last Update Date | 2022-05-23 |