| NPI | 1578559100 |
|---|---|
| Former Name | CHERYL S DEGRANDPRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA779) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ME PA-779) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-11-02 |