| NPI | 1356380901 |
|---|---|
| Former Name | ANNETTE LOUISE MOWRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA002580L) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA000336L) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-04-26 |