| NPI | 1508384603 |
|---|---|
| Former Name | ANNAH LYNNE POOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 023495-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06630) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-06-22 |