| NPI | 1174211940 |
|---|---|
| Former Name | BAILEY HEDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601012521) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601012521) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-10-14 |