NPI | 1427406727 |
---|---|
Former Name | PEGGY ANN PEELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110004675) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DC PA031065) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2016-05-26 |