| NPI | 1023592797 |
|---|---|
| Former Name | ANNA MCDERMOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 310486) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA13465) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-12-15 |