NPI | 1982603064 |
---|---|
Former Name | WHITNEY L BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA051088) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051088) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2019-08-16 |