NPI | 1932585676 |
---|---|
Former Name | CAREY MARION HYNDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-0572) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2280) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2023-10-04 |