| NPI | 1043306061 |
|---|---|
| Former Name | ANNE MARIE SAMMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11889) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001433) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-07-25 |