NPI | 1235597790 |
---|---|
Former Name | ANNA ELIZABETH DAVIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 097159) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1989) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2023-12-15 |