| NPI | 1427681535 |
|---|---|
| Other Name | ANNIE HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA58037) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2021-04-01 |