NPI | 1285142695 |
---|---|
Former Name | ANNA KATELYN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2344) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY TC694) |
363AM0700X Physician Assistant, Medical (Licence: KY PA2344) | |
363AS0400X Physician Assistant, Surgical (Licence: KY PA2344) | |
Enumeration Date | 2018-01-19 |
Last Update Date | 2022-05-04 |