NPI | 1932447604 |
---|---|
Former Name | CALI DAMRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5906-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 22644875) |
363A00000X Physician Assistant (Licence: TX PA09910) | |
Enumeration Date | 2013-01-30 |
Last Update Date | 2022-09-01 |