NPI | 1902397771 |
---|---|
Former Name | JOYCE CATHERINE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL 9115020) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MED-PAC-LIC-67223) |
363AM0700X Physician Assistant, Medical (Licence: MT 67223) | |
Enumeration Date | 2018-05-28 |
Last Update Date | 2022-03-25 |