| NPI | 1649615444 |
|---|---|
| Former Name | AUDRA E EGGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007027) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA182433) |
| 363A00000X Physician Assistant (Licence: WA PA61260795) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA61260795) | |
| 363AS0400X Physician Assistant, Surgical (Licence: OR PA182433) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-01-13 |