| NPI | 1992163224 |
|---|---|
| Former Name | SULLIVAN PARKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005994) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0006194) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 2647) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2023-11-16 |