| NPI | 1184680431 |
|---|---|
| Former Name | TRUDIE DIANNE BOGUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AL PA-201) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA-201) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-08-02 |