| NPI | 1093772253 |
|---|---|
| Former Name | DONNA BEDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54054) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA20130080) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-06-19 |