NPI | 1073954525 |
---|---|
Former Name | ANDREA STEEVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA000.5935) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001004396) |
363AS0400X Physician Assistant, Surgical (Licence: OR 196801) | |
363AS0400X Physician Assistant, Surgical (Licence: FL PA9107295) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2024-05-31 |