NPI | 1912307778 |
---|---|
Former Name | MIRANDA FINCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 1000372A) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2014-08-29 |
Last Update Date | 2021-05-17 |