NPI | 1952665028 |
---|---|
Former Name | DURAN L. HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055598) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055598) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2020-08-17 |