| NPI | 1629532379 |
|---|---|
| Former Name | ANNA K BEASLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3692) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 3692) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-03-12 |