| NPI | 1487092573 |
|---|---|
| Former Name | ANNA C. DEPREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3167) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-01-22 |