NPI | 1598037681 |
---|---|
Former Name | ANNA FAISON PEPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 001003367) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2016-11-02 |