| NPI | 1003361965 |
|---|---|
| Former Name | ANN KATHRYN MCCRELESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11452) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7980) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-04-10 |