| NPI | 1649793852 |
|---|---|
| Former Name | BAILEY DELAROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: WY PT800) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA54548) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |