| NPI | 1295700425 |
|---|---|
| Former Name | TERESA DESHAWN DREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2962) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031082) |
| 363A00000X Physician Assistant (Licence: MD C0003136) | |
| 363AM0700X Physician Assistant, Medical (Licence: DE C5-0000491) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-05-31 |