NPI | 1467452508 |
---|---|
Former Name | DEANNA C PRESLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 2728) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 2728) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2019-03-20 |