NPI | 1275931867 |
---|---|
Former Name | ADREANNE NASHEA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN 2640) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant Surgical | |
Enumeration Date | 2014-12-12 |
Last Update Date | 2019-02-26 |