NPI | 1942493630 |
---|---|
Former Name | HADDEN FORRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY 433) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY WY433) |
Enumeration Date | 2007-08-25 |
Last Update Date | 2012-04-24 |