| NPI | 1649239278 |
|---|---|
| Former Name | PAMELA J CROSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA203665) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 3302) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-01-26 |