NPI | 1922862325 |
---|---|
Former Name | AMELIA JILL DUGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119881) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-14161) |
Enumeration Date | 2024-02-07 |
Last Update Date | 2025-08-27 |