NPI | 1871572974 |
---|---|
Other Name | MANDY NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001608) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002047) |
363A00000X Physician Assistant (Licence: MI 5601005731) | |
363A00000X Physician Assistant (Licence: NC 0010-00508) | |
363A00000X Physician Assistant (Licence: PA MA052924) | |
Enumeration Date | 2006-01-17 |
Last Update Date | 2016-02-15 |