NPI | 1891182317 |
---|---|
Former Name | ARIELLE ATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: TX 3131) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2020-10-26 |