NPI | 1871617142 |
---|---|
Former Name | NIRA L. HINCKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6639) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-03-19 |
Last Update Date | 2024-11-11 |