NPI | 1871812297 |
---|---|
Former Name | ERIN LEE MCINTURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2012-0020) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK PA1885) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2014-10-29 |