NPI | 1255334884 |
---|---|
Former Name | DEENA MARIE BECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10000279A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA493) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2005-05-27 |
Last Update Date | 2023-05-31 |