| NPI | 1962736892 |
|---|---|
| Former Name | DEIRDRE LYNN FOISY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002327) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA MAPA4438) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9110356) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2020-04-15 |