NPI | 1144712613 |
---|---|
Former Name | HANNAH PEFFLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001225) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2018-05-31 |
Last Update Date | 2019-01-23 |