| NPI | 1457815755 |
|---|---|
| Former Name | AUDRA ANNE NOSAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AR PA-834) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-05-20 |