| NPI | 1275935322 |
|---|---|
| Professional Name | ANNIE BASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2164) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 2164) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2019-08-30 |