| NPI | 1083866776 |
|---|---|
| Former Name | ANJA MARIE SUMMERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 003080) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003080) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 012881) | |
| 363AM0700X Physician Assistant, Medical (Licence: CT 003080) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2021-08-02 |