NPI | 1942719711 |
---|---|
Former Name | NICHOLE B PARSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA004263) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059312) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2019-04-09 |