NPI | 1902139728 |
---|---|
Former Name | DULCIE ANN SWOPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003947) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054107) |
363A00000X Physician Assistant (Licence: PA TMA052166) | |
Enumeration Date | 2009-09-11 |
Last Update Date | 2021-07-05 |